IM/IT GOVERNANCE DECISION RIGHTS Sheetara Brown Strayer University Abstract IM/IT governance and decision rights consist of helping the organization make a wise business decision more accurately and in a timelier manner. IM/IT operations help expand information technology to be used effectively that helps support the strategic priorities of the organization. In addition, high priorities are a result in strategic IM/IT planning. To address chapter 3 in a more detail explanation I will explain and discuss these following questions: Give five different examples of simple systems and include the input(s), conversion process, and output(s)? Ensure that there is some feedback between your examples. • Why do closed systems eventually die, while open systems may continue to be upgraded and modified? • Find examples of the use of cybernetic systems in healthcare, other than the examples provided. • Find two RHIOs currently in existence. Provide an overview of each RHIO and then determine the differences between them. • What governance challenges do RHIOs pose for healthcare organizations in general and specifically for healthcare IM/IT?
Give five different examples of simple systems and include the input(s), conversion process, and output(s)? Ensure that there is some feedback between your examples. When describing simple systems you are describing systems that are easily done with the department. Within the medical field thee five systems I’m about to describe and explain are everyday simple systems being used throughout healthcare. First you have medical coding for dentistry, its output would be coding based on full mouth debridement and having a series of coding set up on patient’s dental conditions.
The conversion is having the codes set up for each patient’s full mouth debridement. The output is to help the dentist when writing down the patient dental history to be converted for the dental assistant to put in the system. Second, we have medical billing for emergency care; its output is the process of collecting payment of service that’s been rendered. The conversion is the tracking of invoices by payments when that is due and sending letters off when payments are due or overdue.
The output is mailing out statements to patients when payments have been received or process or still waiting for payments. Third, patients scheduling, the input would be storing data of the patient (appointment time, name, reason). The conversion is collecting additional information from patients. The output is receiving services based on patients needs. Fourth, we have call center/urgent care, your input is receiving and transmitting a large volume of request by phone. Your conversion is setting up a request according to its importance.
The output would be the scheduling the patients to be cared for by physician, dentist, or nurse. Lastly the fifth simple system if filling medical records. Your input is systems needed for patients records. Your conversion is setting up records by patient’s last name. The output is being able to get to patients records easily without any hassle. Why do closed systems eventually die, while open systems may continue to be upgraded and modified? Systems are entity with a boundary which is not closed, which received inputs and produces outputs.
It changes its behavior in response to its conditions outside of its boundaries. A open system may continue to upgrade and modify is because the components of its system helps exchange materials, energies, and information with their environment, in addition, it influences and are influenced by its environment in which it helps operate. As for closed systems they die because it is self contained and are not influenced by external events like open systems are. Close systems also contains limited energies than open systems.
Open systems also can easily interact with other systems outside its environment unlike closed systems because the closed system interact very little with other systems outside its environment, which they are no flexible like open systems to branch out with other systems outside the environment. In addition, open systems perspective views an organization as an entity in which they take inputs from these environment which they transform them and release there outputs. Find examples of the use of cybernetic systems in healthcare, other than the examples provided.
Cybernetic systems are systems set up to do different things, which are computer based systems where data is inputted to be performed. The difference between non cybernetic systems with healthcare and with is, non cybernetic systems are all manual work being done for example, all results and lab work on a patient is being writing up by nurse, doctor to test all results as for dealing with cybernetic systems in healthcare everything is computer base where your data can be submitted to the computer and it can break down lab reports, and other data the physician/doctor patients information concerning their health.
Another example is the breakdown process of how the cybernetic process system works within the patient care. How the process work is the patient perform a history and physical examination and customizes orders from an evidence-based order set. Then the nurse sets not assign and customizes a clinical pathway and therapeutic goal which is figuring out a way of which is the best approach to figure out the best care for its patient, so pretty much finding the best care for its patients.
Next the nurse will execute the pathway where they would then past to the physician which they would order the document care and observations which will includes records of patient’s fluids taken and its different outputs of its achievements of the therapeutic goals. Then the physician will periodically review lab results, symptoms, and signs and different fluid intake and outputs, and goal achievement. Lastly, as a whole the clinical team will adjust the care needed to enhance the goal achievement and they will verify to see if the patients have achieved its therapeutic goals so the physician can discharge the patient.
Find two RHIOs currently in existence. Provide an overview of each RHIO and then determine the differences between them. The two RHIO sources I have chosen that are currently in existence are “Indiana Health Information Exchange” and ARCHIE Adirondack Regional Community Health Information Exchange”. Indiana health information exchange connects with hospitals, rehabilitation centers, long-term care facilities, laboratories, imaging centers and other health care organizations for the patients can receive the very best care possible.
IHIE is nation’s best model to improve the best quality, as well as, the best safety and efficiency period. IHIE provides a platform which supports care for its diabetics which ensures all Hoosiers are getting the best needed cancer screening that will help reduce hospital admissions. The difference from the other RHIO is IHIE only partners with the communities within and throughout Indiana. ARCHIE is a secure health information exchange which allows its physicians all access to its online access to its patient’s health records which all health records are complete, secure, and are always protected.
ARCHIE connects are to hospital clinics, imaging centers, pharmacies, private office practices. Also ARCHIE data exchange helps create a more consolidated view of patient demographic, lab, radiology, insurance, and transcription results from its multiple sources. The difference between the other RHIO is that ARCHIE is global as for IHIE it’s just within that state of Indiana. So ARCHIE has a more advantage of helping other states. They both provide security and privacy so only the patient has complete control over who views their health information unless a written consent is written stating otherwise.
What governance challenges do RHIOs pose for healthcare organizations in general and specifically for healthcare IM/IT? What governance challenges that RHIOs pose for healthcare organizations in general and specifically for healthcare IM/IT is have updating and accurate information because having duplicate or false information can cause a patents life because people lives are on the line when it comes to information and data of a patient well-being. Most hospitals, facilities, clinics can be lost of a business/job if wrong or non-updated information is not being done or given for these patients who are in need of serious care.
Also the strategic planning, the RHIOs is going beyond in which they are finding out how to prevent human errors coming in and in to help find a way to eliminate minor and human errors. Conclusion In conclusion simple systems are slowing dying out with the act of use of using pencil and paper is known being done by computer and is computerized. Open systems can easily interact with other systems outside its environment unlike closed systems because the closed system interact very little with other systems outside its environment. Cybernetic systems have change communicate to a whole different level.
Cybernetic systems consist of, instead of picking up a phone to retrieve information you can know you computer to type in information to retrieve information back to you to get information you are looking for. RHIOs are use to transmit personal data to different physicians throughout the health field. Reference Droege, B Scott. (2011). Open and Closed Systems. Enotes. com Retrieved from http://www. enotes. com/management-encyclopedia/open-closed-systems Ozbolt, Judy. , Ozdas, Asli. , Waitman, R. Lemuel. , Smith, B. Janis. , Brennan, V. Grace. , Miller, A. Miller. (2004).
Decision Support for Patient Care: Implementing Cybernetics. MEDINFO 2004 Retrieved from http://cmbi. bjmu. edu. cn/news/report/2004/medinfo2004/pdffiles/papers/4510Ozbolt. pdf Adirondack Regional Community Health Information Exchange. (2011). ARCHIE. Retrieved from http://www. archiehealthexchange. org/ Indiana Health Information Exchange. (2011). IHIE. Retrieved from http://www. ihie. com/default. php A simple system for coding E/M services. (1995-2011). American Academy Orthopedic Surgeons. Retrieved from http://www. aaos. org/news/bulletin/may07/managing7. asp